ANC96FA081

NTSB accident investigation · Robinson R-22 Mariner · Mekoryuk, AK · June 4, 1996

Accident · FatalField investigationFinal report
Date
June 3, 1996, 16:00 local (Jun 4, 1996, 00:00 UTC)
Place
Mekoryuk, AK
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Unknown
Aircraft
N113CFRobinson R-22 Mariner
Weather
Visual (VMC) · Day
Status
Completed · report February 18, 1997
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19960603015969A
Case key
2756

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

A loss of engine power due to fuel contamination found in the fuel supply and helicopter fuel system. Factors in the accident were the pilot's inadequate filtration (servicing of the helicopter) of the fuel supply, and the pilot's inadequate performance of emergency procedures.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerUnknown
Fluid,fuel - contamination,other than waterCause
Fuel system,screen - contamination,other than waterCause
Maintenance,service of aircraft/equipment - inadequatePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water
Emergency procedure - inadequatePilot in commandFactor

Analysis

The pilot had departed to pick up a company worker about 35 miles south of the departure point on a remote island. The wreckage was located the following day, partially submerged and floating in a small lake. The helicopter received damage consistent with a significant vertical descent onto the lake. The rotor system was undamaged. The wreckage examination revealed particulate contamination in the fuel system. The helicopter was routinely fueled from barrels and hand pumped through a water/separator type filter. Examination of the water separator revealed water and sediment in the filter bowl. A sample of fuel from the fuel barrel contained particulate contamination. Following the accident, the engine was removed and placed in a test stand where it was started. The engine produced full power until the left magneto failed internally due to corrosion from water immersion.

Factual narrative

History of the Flight

On June 3, 1996, about 1600 Alaska daylight time, a float equipped Robinson R-22 Mariner helicopter, N113CF, crashed on the surface of a small lake about 32 miles southeast of Mekoryuk, Alaska, located on Nunivak Island. The helicopter was being operated as a visual flight rules (VFR) local area business flight under Title 14 CFR Part 91 when the accident occurred. The helicopter, registered to and operated by Bearing Sea Reindeer Products, was destroyed. The certificated commercial pilot, the sole occupant, received fatal injuries. The flight originated at Mekoryuk about 1500.

A company representative reported that the pilot departed for Cape Corwin located on the southeast corner of the island to pick up a company worker. The helicopter did not arrive and did not return to Mekoryuk. The flight was reported overdue at 2313. Search airplanes located the wreckage on June 4, 1996, about 1300, along the south edge of a small lake, about 1/2 mile north of the coastline.

The accident occurred during the hours of daylight at latitude 59 degrees, 54.170 minutes north and longitude 165 degrees, 43.614 minutes west.

Crew Information

The pilot held a commercial pilot certificate with airplane single engine land, airplane multi-engine land, instrument airplane, and rotorcraft helicopter ratings. The most recent second-class medical certificate was issued to the pilot on May 9, 1996, and contained the limitation that the pilot must wear corrective lenses.

According to the pilot's logbook and aircraft logs, his total aeronautical experience consisted of about 1,411.6 hours, of which 890.4 were accrued in helicopters. In the preceding 90 and 30 days prior to the accident, the logs lists a total of 24.5 and 35.3 hours respectively.

On April 14, 1995, the pilot received a biennial flight review that included Robinson R22/R44 Helicopter Awareness Training specified in Special Federal Aviation Regulation (SFAR) 71.

Aircraft Information

The helicopter and engine had accumulated a total time of 1094.3 service hours. The most recent annual inspection of the engine and airframe was accomplished on April 13, 1996, 29.2 service hours before the accident. During the annual inspection, the number 4 engine cylinder was replaced. The helicopter airframe and engine logbooks and daily log sheets found in the helicopter were examined. The maintenance records indicated that on May 14, 1996, ignition noise filters were installed on both engine magnetos. On the same date, an emergency locator transmitter (ELT) was installed and included a remote activation switch installed on the instrument panel.

On May 28, 1996, a certified airframe and powerplant mechanic inspected and repaired the left magneto. In an interview with the National Transportation Safety Board (NTSB) investigator-in charge (IIC), he reported that the pilot called him and requested his services due to a drop in engine RPM. The mechanic indicated that he found the left magneto "P" lead disconnected. The exposed end of the wire was covered by a piece of black tape. He replaced the left magneto's timing gear, points, and coil. He re-timed the engine, performed an engine run-up, and the helicopter was test flown. The mechanic also stated that on June 1, 1996, he called the pilot to check on the status of the helicopter. The pilot informed him that the engine had "lots of power". The mechanic did not make any notation in the engine logbook concerning his work on the magneto. He did produce an invoice that detailed his work. Written on the invoice was "permanete aircraft record". On May 29. 1996, 4.8 hours before the accident, the helicopter daily log sheet noted that the engine oil was changed.

No records of fueling for the helicopter were located. The Executive Officer of the IRA Council, Native Village of Mekoryuk, reported that the helicopter was last fueled before the accident flight from a 50 gallon barrel of 100LL octane aviation fuel. The pilot normally obtained fuel from barrels that are shipped to Mekoryuk by air cargo or barge. Fuel is then hand pumped from the barrels into the helicopter. The hand pump has a spin-on filter and a water separator installed between the pump and the delivery hose. Examination of the water separator revealed water and sediment in the filter bowl.

The operator indicated that the company's supply of fuel had been exhausted. Fuel for the accident flight was obtained from reserve supplies maintained on the island by the U.S. Fish and Wildlife. The specific barrel that the helicopter was fueled from was not initially located during the examination of the wreckage.

Meteorological Information

The closest official weather observation station is Mekoryuk, Alaska, which is located 32 nautical miles northwest of the accident site. At 1600, an automated weather observation system (AWOS) was reporting, in part: Sky condition and ceiling, measured 400 feet overcast; visibility, 3 1/2 miles; temperature, 38 degrees F; dew point, 34 degrees F; wind, 320 degrees at 13 knots; altimeter, 30.54 inHg.

The company worker that the pilot was planning to pickup from the area of the accident reported that the weather conditions on the afternoon of June 3, 1996, were clear without any strong winds.

On the morning of June 4, 1996, the 0655 AWOS observation at Mekoryuk was reporting, in part: Sky condition and ceiling, partially obscured, ceiling measured 100 feet overcast; visibility, 2 miles; temperature, 34 degrees F; dew point, 32 degrees F; wind, 330 degrees at 13 knots; altimeter, 30.45 inHg.

When the Alaska State Trooper arrived at the accident scene on June 4, 1996, at 2100, he indicated that the weather was clear, temperature 58 degrees F, and the wind was from 310 degrees at 17 knots. He indicated that a thick fog bank was located about 20 miles to the north of the accident site.

Wreckage and Impact Information

The NTSB IIC examined the airplane wreckage at the accident site on June 5, 1996. The helicopter was resting on its landing gear floats, partially submerged, against the south shore of a small lake. The nose of the helicopter at the point of rest was observed on a magnetic heading of 238 degrees. The helicopter was floating with the right side about 15 degrees lower than the left. (All heading/bearings noted in this report are oriented toward magnetic north.)

All of the helicopter's major components were found at the point of rest. The float assembly consists of 4 chambers enclosed in a cylindrical tube. The left gear skid assembly was bent in an upward direction at the forward and aft upper attach points. The left float assembly was attached to the skid tube and the internal float chamber adjacent to the left door was punctured. The right gear skid assembly was also bent upward at the upper attach points. The float assembly remained attached to the skid tube and the two interior chambers adjacent to the right door and engine compartment were punctured. The aft section of each landing gear skid tube was bent upward about 10 degrees at their respective aft cross tube attach points.

The helicopter had external cargo racks installed on each side and were mounted between the fuselage and the floats. The racks were buckled in an upward direction and a vertical/diagonal brace at the aft edge of each rack was buckled in an outward direction. Wooden platforms that formed the bottom portion of each rack were found floating in the water near the helicopter.

The cockpit was crushed in a downward direction. The main rotor mast was displaced slightly forward and the forward edge of the mast fairing was wrinkled adjacent to the upper cabin roof. The floor, forward and aft of the front lateral landing gear cross tube assembly, was displaced in a downward direction. The front windshield bow, dividing the left and right sides of the forward windshield, was separated at its u

Aircraft

Registration
N113CF
Reported as
Robinson R-22 Mariner (R-22 MARIN)
Category
Helicopter
Serial number
1428M
Airframe hours
1,094
Engine
Lycoming O-320-B2C, 160 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Registered owner
Bearing Sea Reindeer Products
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 13, 1996 · 31 hours before
Departed
MYU · AK

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
66
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
1,412 total · 1,257 as pilot in command · 35 in the last 90 days · 26 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 13 knots
Visibility
3.5 statute miles
Lowest ceiling
400 ft overcast
Temperature
37 °F, dew point 34 °F
Altimeter
30.00 inHg
Observed at
MYU, 32 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.